[Clinical assessment of dynamic contour tonometer].
OBJECTIVE
To assess the applicability and reliability of Dynamic Contour Tonometry (DCT) in the measurement of intraocular pressure (IOP) and ocular pulse amplitude (OPA) in patients with primary open-angle glaucoma (POAG), ocular hypertension (OHT), normal tension glaucoma (NTG) and normal controls.


METHODS
120 subjects were included in the present study as follows: 30 patients in each group, total four groups, i. e. , POAG, OHT, NTG and normal control. IOP measured by DCT was compared to that by Goldmann applanation tonometry (GAT). OPA, central cornea thickness (CCT), central cornea curve (CCV), heart rate (HR), systolic blood pressure (SBP) and diastolic blood pressure (DBP), other associated parameters, were also determined for the subjects of each group.


RESULTS
The IOP of all groups measured by DCT was (21.68 +/- 2.02), (23.37 +/- 2.65), (18.43 +/- 3.08), (17.04 +/- 2.07) mm Hg (1 mm Hg = 0.133 kPa); and the IOP measured by GAT was (21.18 +/- 2.95), (23.28 +/- 5.95), (16.39 +/- 3.60), (14.66 +/- 2.27) mm Hg, there was no significant differences between the IOP measured by these two methods (t = 1.338, 1.445, 1.682, 1.803; P = 0.197, 0.151, 0.136, 0.081). Significant differences of OPA levels in different groups were observed (F = 21.311, P = 0.000). OPA reading was affected by HR, SBP, DBP, IOP and CCT, while there was no correlation with patients' age.


CONCLUSIONS
Regarding to the IOP measurement, DCT was in concord with GAT readings. The differences in OPA among POAG, OHT and the normal groups and the lowest OPA reading in NTG patients indicate different intraocular hemodynamic status among these groups. OPA measurement may be useful to early detection and progression follow-up of glaucoma patients.
Shi
Wei
W
Department of Ophthalmology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China.
Zhong
Yong
Y
Dong
Fang-tian
FT
Xu
Peng
P
Wang
Ren-yan
RY
D000328:Adult; D000368:Aged; D016022:Case-Control Studies; D005260:Female; D005901:Glaucoma / Q000503:physiopathology; D005902:Glaucoma, Open-Angle / Q000503:physiopathology*; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D009798:Ocular Hypertension / Q000503:physiopathology; D014065:Tonometry, Ocular / Q000295:instrumentation* / Q000379:methods